197402729-9-5-2019-30-CC-KSTS-BFQPJV-20190905112211

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197402729
Report Date: 09/05/2019
Date Signed: 09/05/2019 11:22:22 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	TRANSFIGURATION ELEMENTARY SCHOOL		FACILITY NUMBER:	197402729
ADMINISTRATOR:	AMIA LEFFALL		FACILITY TYPE:	850
ADDRESS:	4020 ROXTON AVENUE		TELEPHONE:	(323) 292-3011
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90008
CAPACITY:	37	CENSUS: 20	DATE:	09/05/2019
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Gerory Perkinis		TIME COMPLETED:	11:30 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 09/05/19, Licensing Program Analyst (LPA) Karren Starks made an unannounced visit for the purpose of conducting an Annual/Random inspection.. LPA met and toured the facility inside and outside with the Lead Teacher, Gerory Perkins due to the Director being out on Maternity Leave. At the time of the visit there were 20 children present with 1 additional teacher. The outside play area is enclosed with a brick wall and is located to the right of the classroom past the bathrooms as well as a waiver for the use of the large play yard directly in front of the class. Furniture/Equipment were inspected for cleanliness, age appropriateness, good repair. Lighting/Ventilation were evaluated. Napping/Bedding equipment were inspected for cleanliness, age appropriateness, good repair & storage. Storage for children's belongings was observed. Water is readily available via a dispenser. Bathroom facilities were inspected and observed to be functioning properly with a sufficient supply of toilet paper, paper towels and soap. CPR/First Aid are current with an expiration of 08/2021. Children bring their lunch in labeled containers or a paid food service is provided for breakfast, snack and lunch. There is a supply of food in the event a child does not have a lunch. The facility is a peanut free zone. A fully charged fire extinguisher was observed in the kitchen area, operable smoke/carbon monoxide detectors. First Aid Kit with guide was observed. Fire and evacuation plans were reviewed. Incidental Medical Services (IMS) were discussed, facility not providing at this time. Food preparation area was inspected for cleanliness, proper equipment and protection against contamination. Storage area were inspected for toxins/cleaning compounds inaccessibility. There is a microwave for heating of lunch items. If there are any dishes that need washing the school has two kitchens on campus that the facility can use. Outdoor area was inspected for cushioning material, age appropriateness and good repair. Required shaded areas, drinking water availability and fencing were inspected. Play area inspected for safety, potential hazards and inaccessibility to bodies of water.

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: TRANSFIGURATION ELEMENTARY SCHOOL	FACILITY NUMBER: 197402729
	VISIT DATE: 09/05/2019

NARRATIVE

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A pitcher and cups are used when the children go for outdoor play. No bodies of water were observed.

The following was discussed:

Assembly Bill (AB) 633: Upon receipt by the licensee, licensees are to provide to parents/guardians the following: Copies of any licensing reports that document a Type A citation- this includes facility visits and substantiated complaint investigations; copy of licensing documents pertaining to a conference conducted by a local licensing agency management representative and the licensee of this family child care home in which issues of noncompliance are discussed or copies of a summary of an accusation indicating the Department's intent to revoke the facility's license. Copies of any of the above licensing documents the licensee has received in the prior 12 months shall be provided to parents/guardians of newly enrolled child at the facility.

Senate Bill (SB) 792: This bill, commencing September 1, 2016, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, Senate Bill (SB) 277 New Immunization Requirement: Beginning January 1, 2016, personal beliefs exemptions will no longer be an option for the vaccines that are currently required for entry into child care or school in California. Personal beliefs exemptions already on file will remain valid until the child reaches the next immunization checkpoint.

Licensee was also shown how to access current information on the www.ccld.ca.gov website on how to access: Reducing the Risk of SIDs in Early Education and Child Care

Licensee was made aware of The Child Care Advocate Program (CCAP) that is administered from within the Community Care Licensing Division. CCAP participates in many community activities and special projects in order to disseminate information on the State’s licensing role, provide information to the public and parents on child care licensing, and provide many other helpful resources to the licensees and the public. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541
Email Address: childcareadvocatesprogram@dss.ca.gov

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:	DATE: 09/05/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2019

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: TRANSFIGURATION ELEMENTARY SCHOOL	FACILITY NUMBER: 197402729
	VISIT DATE: 09/05/2019

NARRATIVE

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Mandated Reporter: Beginning on January 1, 2018, AB 1207, requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: www.mandatedreporterca.com

Update on Incidental Medical Services: Facilities that provide Incidental Medical Services (IMS) must identify those services in their facility’s Plan of Operation and submit an updated Plan of Operation to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm
Incidental Medical Services Include: Blood-Glucose Monitoring for Diabetic Children, Administering Inhaled Medication, Administering EpiPen Jr. and EpiPen or other Epinephrine Auto-Injectors, Glucagon Administration, Gastrostomy Tube Care (G-tube care), Insulin Injections Administration, Anti-Seizure Administration, and Emptying an Ileostomy Bag.pertussis and measles.

A review of Children's records were found to be complete, Admission Agreements are kept in the office. LPA advised a copy to be placed in the Child's File.

No deficiencies cited. Copy of report and Notice of Site visit issued.

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:	DATE: 09/05/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2019

LIC809 (FAS) - (06/04)

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